After Posting More Than $88 Million in Profits UMass Memorial Medical Center Has Slashed its Nursing and Support Staff in the Last Two Years and Has Gone From Being the Best Staffed Hospital in the City to the Worst, While Also Posting Among the Lowest Rankings in the State for Quality Patient Care

While Forcing Nurses to Work Under Rapidly Worsening Conditions, UMMMC Management is Adding Insult to Injury By Seeking to Cut the Nurses' Pension, Health Insurance and Time Off Benefits

WORCESTER, Mass., Nov. 8, 2012 /PRNewswire-USNewswire/ -- Carrying signs that read "safe staffing equals quality care, safe staffing now and staffing cuts hurt us all," hundreds of nurses who work at the Worcester-based hospital campuses of UMass Memorial Medical Center chanted and marched in front of the system's University Medical Center campus today to call for desperately needed improvements in patient care conditions at this major tertiary care provider.

The picketing was called after the 2,000 nurses represented by the Massachusetts Nurses Association on the University Hospital and Memorial/Hahnemann campuses of UMMMC have been engaged in nearly a year of negotiations for a new union contract, with little progress on a number of key issues, including the nurses' call for safer RN staffing levels. The nurses are outraged about deteriorating working conditions, a lack of resources, and untenable patient loads following more than six layoffs involving hundreds of RNs and support staff over the last two years.

"We are out here today to alert the public about our concerns for their safety in the wake of unprecedented and unwarranted cuts to RN staffing levels on both campuses of the UMass Memorial system," said Margaret McLoughlin, RN, a nurse in the intensive care unit and co-chair of the Massachusetts Nurses Association local bargaining unit representing more than 1,000 nurses on the University hospital campus. "We are here to tell you if UMass management has its way, there may not be a nurse at your bedside when you need one. Their desire to boost profits by cutting your care could ultimately cost your life."

According to official staffing plans posted on the Mass. Hospital Association's "Patient Care Link" web site. UMMMC has gone from having the best RN staffing levels in the city to now having the worst RN staffing for most of their units. These staffing levels have had a demonstrable impact on the systems' quality of care. Last month a report by the federal Medicare program showed that the UMass system was listed among the 10 hospitals in the state receiving the highest penalties by the government for poor patient care, specifically for the rate that UMass patients are readmitted to the hospital post discharge because of preventable complications related to their care. Studies have shown that RN staffing levels are directly related to hospital readmission rates.

Back in June a report by the Leapfrog Group, an independent coalition of health care insurers and employers that ranks hospital quality, listed both UMass hospital campuses among the nine hospitals with the lowest grades for quality care. The grades are based on up to 26 measures, including nurse staffing levels, processes for preventing infection and medication errors, and the rates of patient injuries, bloodstream infections, or surgical errors.

"When nurses have too many patients to care for at one time, complications are more likely and at UMass, we have been warning management about these conditions for two years, yet they continue to cut staff," said Lynne Starbard, RN, a maternity nurse on the UMass Memorial Hospital campus, whose unit has seen some of the deepest cuts in the past year.

In fact, back in May and June at special meetings held with management called by the nurses to discuss the staffing crisis, dozens of nurses from every unit and department at both campuses presented harrowing testimony about how poor staffing conditions on their units are compromising their ability to deliver optimal, and sometimes even safe, patient care. Here are some of the situations presented at those hearings:

An intensive care unit nurse described a horrific night being assigned an unstable patient on an overburdened unit, and the toll it took on her to make it through the shift. "On nights like that you go home crying because you know you didn't do enough, and you know these patients' lives are hanging in the balance of our competence and the staff we have to take care of them."

One nurse spoke questioning the veracity of UMass calling itself a Stroke Center of Excellence, when it won't provide its nurses on its neurological floor with the staffing resources they need to deliver appropriate care. "You need to sit with these patients for a good hour to go over their systems; they are all on telemetry monitors, some are aphasic, which means they can't tell you what they need. If we had the staffing numbers we need we could have the time to spend with these patients. We could better prevent falls and we would have the time to provide education; teaching them how to recognize or prevent another stroke."

Nurses from the neonatal intensive care unit almost brought the room to tears describing the frustration they feel caring for the sickest babies, with families in the worst crisis in their lives, and not being able to comfort them. They told of babies coming back into the unit post discharge because they didn't receive the care they needed. As one nurse put it, "I love my job, but lately, I feel like a failure every day. You should be ashamed of yourselves," she told management.

So how did the hospital respond to the nurses' plea for help? Management cut the staff even further, implementing two more rounds of layoffs on both campuses.

In their call for safer staffing levels, the nurses point to dozens of studies published in the most prestigious medical journals that clearly demonstrate that the RN-to-patient ratios the nurses are seeking not only prevent complications and save lives, but safe staffing can also save millions of dollars. Again, the nurses point to the recently assessed penalties from Medicare for UMMMC due to poor care, which could have been avoided with appropriate staffing in place.

"We are appalled that with all the data supporting our plea for safe staffing, the management team at UMass Memorial has opted to disregard the numerous studies and directed the nurses to 'do more with less.' Just since this most recent round of layoffs, I have received dozens of official reports of unsafe staffing from nurses in the Maternity Center, the NICU, the Emergency Dept and the Med/Surg units," said Colleen Wolfe, co-chair of the MNA local bargaining unit representing 1,000 nurses on the Memorial and Hahnemann hospital campuses. "Patients are at increased risk and are indeed suffering preventable infections such as MRSA, and pneumonia. They are also at increased risk of blood clots, heart attacks and post operative complications. Laboring mothers in our high risk tertiary center are not receiving the focused attention they need from their nurse. This puts mothers and babies in further jeopardy. We are here today to tell you that we are in trouble! There are not enough of us to safely care for our patients! We need safe staffing."

Adding insult to injury, in addition to forcing nurses to work under increasingly stressful and dangerous conditions, UMMMC management is also seeking to gut the nurse' benefits package. Once again UMMMC wants to cut the nurses pension benefit, an issue that drove the University-campus nurses to wage a five-hour strike back in 2007. Management also wants to increase the cost of the nurses' health insurance and to cut their time off benefits.

The nurses are concerned that these cuts are being made in the wake of the hospital's posting more than $87 million in profits in the past two years, even after the hospital was fined more than $1 million by the state's Attorney General for perpetrating a scam of insurance companies for having high priced models dressed in blue wigs parading though shopping malls to lure unsuspecting consumers into undergoing overpriced bone marrow testing.

"It is unacceptable that nurses and our patients are being forced to pay the price for penalties incurred by our leaderships' mismanagement and shady dealings," said Ellen Smith, an intensive care unit nurse and co-char of the MNA bargaining unit for the nurses on the University campus.

In response, the nurses are asking the hospital to retract their demands for benefits concessions and to provide contractually guaranteed RN to patient ratios. Those ratios are based on the best scientific evidence for quality patient care and, in the case of the maternity and neonatal units, on nationally accepted standards of best practice.

"Nurses at this hospital provide 90 percent of the care our patients receive. Most of us have spent decades in these institutions and want UMass to return to what it once was, which was the flagship system in the region, if not the state," McLoughlin concluded. "Because of our commitment to our patients, this community and our professional license, we are determined to do whatever is necessary to ensure the safety of our patients and the dignity of our nurses."

The nurses and management began negotiations for a new union contract in February 2012 for the University campus nurses, and in November 2011 for the Memorial/Hahnemann campus nurses. To date 18 sessions have been held with the Memorial campus committee and 15 sessions with the University committee. The nurses' contracts officially expired on December 31, 2011 and April 5, 2012 respectively, and the next negotiating session is scheduled for November 9, 2012.

Founded in 1903, the Massachusetts Nurses Association is the largest professional health care organization and the largest union of registered nurses in the Commonwealth of Massachusetts. Its 23,000 members advance the nursing profession by fostering high standards of nursing practice, promoting the economic and general welfare of nurses in the workplace, projecting a positive and realistic view of nursing, and by lobbying the Legislature and regulatory agencies on health care issues affecting nurses and the public. The MNA is also a founding member of National Nurses United, the largest national nurses union in the United States with more than 170,000 members from coast to coast.

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